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Volume: 44 Issue: 1

  • Open Access
  • Original Article

Prevalence of anxiety among patients with a total knee replacement


 Bhavya Sharma, Vignesh Srinivasan, Prathap Suganthirababu, Kumaresan A., Jagadeesan Alagesan 


 Saveetha College of Physiotherapy, Saveetha Institute of Medical and Technical Sciences, Chennai, 602105, Tamil Nadu, India 


 Corresponding author: Vignesh Srinivasan. Email: [email protected] 

Year: 2024, Page: 154-158, Doi: https://doi.org/10.51248/.v44i1.4150

Received: Dec. 19, 2023 Accepted: Feb. 15, 2024 Published: May 1, 2024



Introduction and Aim: Knee pain mainly attributed to osteoarthritis in the elderly, significantly impacts daily life. Non-surgical options include analgesics and physical therapy, but Total Knee Replacement (TKR) is most effective for severe cases. While complications are generally minimal, infections and psychological distress may arise. Studies indicate improved mental well-being post-TKR due to pain relief. The aim is to determine the prevalence of anxiety among patients with Total Knee Replacement. 

Methods and Materials: 100 participants, aged 45-84, comprising both genders, were selected through convenient sampling. Informed consent was obtained, and assessments were conducted using the Hamilton Anxiety Rating Scale (HAM-A) over 8 weeks at SMCH. The researcher collected sociodemographic details, including name, age, height, weight, and comorbidities. The HAM-A, consisting of 14 items graded from 0 to 4, measured anxiety levels. Total scores ranged from 0-56, indicating mild to severe anxiety. The study aimed to understand anxiety prevalence among TKR patients, employing a comprehensive approach to gather and analyze data within a specified time. 

Results: The statistical analysis revealed among 100 patients with a total knee replacement, between the age of 45-84 years, the prevalence of anxiety is widespread. 

Conclusion: Post total knee replacement, widespread anxiety necessitates coordinated intervention from surgeons, physical therapists, and psychotherapists within hospital management to effectively address associated complications. 

Keywords: Knee joint; osteoarthritis; knee pain; anxiety; total knee replacement (TKR); Hamilton anxiety scale.



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Cite this article


Bhavya Sharma, Vignesh Srinivasan, Prathap Suganthirababu, Kumaresan A, Jagadeesan Alagesan. Prevalence of anxiety among patients with a total knee replacement. Biomedicine: 2024; 44(1): 154-158